| NPI | 1215135272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN ELAINE JOHNSTON President 360-336-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD00035789) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2011-04-13 |